W. Lafayette Health Center
NPI #1952924896 in W Lafayette, Indiana
Provider Information
- NPI Number
- 1952924896
- Entity Type
- Organization
- Organization Name
- W. Lafayette Health Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROACTIVE MSO, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 27, 2020
- Last Updated
- Sep 28, 2020
Practice Location
- Address
- 2701B KENT AVE
- City
- W Lafayette
- State
- Indiana
- ZIP Code
- 47906-1350
- Phone
- (812) 308-8400
Authorized Official
- Name
- MARK KEMBLE, MD
- Title
- VP OF MEDICAL AFFAIRS
- Phone
- (864) 501-0815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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